# CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Care South
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063972966
- **Authorized official:** MATTHEW VALLIERE (CEO)
- **Authorized official phone:** (225) 650-2026

## Contact information

- **Practice address:** 4852 HIGHWAY 19, ZACHARY, LA 70791-3530
- **Practice address phone:** (225) 478-9030
- **Mailing address:** PO BOX 66156, BATON ROUGE, LA 70896-6156
- **Mailing address phone:** (225) 478-9030
- **Mailing address fax:** (225) 615-8156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/25/2019
- **Last updated:** 10/31/2024